Patients with uncomplicated disease presentation |
General Ward |
a. There are findings like fever, muscle/joint pain, cough, sore throat and nasal congestion, there is no respiratory distress or tachypnea, SpO2 level in room air is not below 93% |
|
|
b. Patients have no underlying comorbidities (primarily cardiovascular diseases, DM, HT, cancer, chronic pulmonary diseases and other immunocompromised states) and are below 50 years of age |
|
|
c. There are no adverse prognostic criteria in blood samples obtained at the time of admission (blood lymphocyte count <800/μL or CRP>40 mg/L or ferritin >500 ng/mL or D-Dimer >1000 ng/mL, etc.), |
|
|
d. Patients with normal lung X-ray and tomography |
Patients complying with mild pneumonia/severe pneumonia definitions |
General Ward |
a. There are findings like fever, muscle/joint pain, cough, sore throat and nasal congestion, respiratory rate is <30/min), SpO2 level is above 90% in room air |
|
|
b. Patients have no underlying comorbidities (primarily cardiovascular diseases, DM, HT, cancer, chronic pulmonary diseases and other immunocompromised states) and are below 50 years of age, |
|
|
c. There are no adverse prognostic criteria in blood samples obtained at the time of admission (blood lymphocyte count <800/μL or CRP >40 mg/L or ferritin >500 ng/mL or D-Dimer >1000 ng/mL, etc.), |
|
|
d. Patients with findings of mild pneumonia on lung X-ray or tomography |
Hospital admission indications for patients complying with mild pneumonia/severe pneumonia definitions |
Intensive care |
a. There are findings like fever, muscle/joint pain, cough, sore throat and nasal congestion, tachypnea (≥30/min) is present, SpO2 level is below 90% in room air |
|
|
b. Blood samples obtained at the time of admission have adverse prognostic criteria (blood lymphocyte count <800/μL or CRP >40 mg/L or ferritin >500 ng/mL or D-Dimer >1000 ng/mL, etc), |
|
|
c. Patients with findings of bilateral pneumonia on lung X-rays or tomography |
Severe pneumonia |
Intensive care (advanced level) |
a. Presence of dyspnea and respiratory distress |
|
|
b. Respiratory rate >30/min |
|
|
c. PaO2/FiO2 100/min |
|
|
d. Development of acute organ dysfunctions like acute renal failure, acute abnormality of liver function tests, confusion, acute hemorrhagic diathesis and immunocompromised patients |
|
|
e. Troponin elevations and arrhythmia |
|
|
f. Lactate >2 mmoL |
|
|
g. Capillary return abnormality and presence of skin disorders like cutis marmorata |
DM: Diabetes mellitus; HT: Hypertension; CRP: C-reactive protein; SpO2: Oxygen saturation; PaO2: Partial pressure of arterial oxygen; FiO2: Fraction of inspired oxygen. |